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Sustainability 2019, 11(1), 220;

Engagement in Healthcare Systems: Adopting Digital Tools for a Sustainable Approach

Department of Law and Economics, University of Rome Unitelma Sapienza, Viale Regina Elena, 295 - 00161 Rome (RM), Italy
Department of Business Sciences, Management & Innovation Systems, University of Salerno, via Giovanni Paolo II, 84084 Fisciano (SA), Italy
Author to whom correspondence should be addressed.
Received: 31 October 2018 / Revised: 15 December 2018 / Accepted: 24 December 2018 / Published: 4 January 2019
(This article belongs to the Special Issue Sustainability for Healthcare)
PDF [699 KB, uploaded 4 January 2019]


The rapid development of new technologies has created interesting and unexpected possibilities in e-health, and digital platforms have become widespread, connecting users, experts, and practitioners of the health world. This triggered our investigation into the relationship between the engagement platforms used by 293 doctors with various specializations, their satisfaction, and the dimensions of social sustainability in the healthcare sector. The research focused on professional interaction and its sphere of action in engagement platforms, defined as virtual contact points for exchanging information, thus increasing the co-creation of value between physicians and patients. In order to verify our hypothesis, a health digital platform called was used, and the two dimensions of engagement and sustainability were considered, examining their causal relationship and evaluating their effects on physician loyalty in terms of the re-use of the digital platform by doctors. Our results, using a multiple linear regression analysis, showed that the social sustainability of the digital health platform was directly influenced by online engagement, generating a positive effect on physician loyalty. In particular, the human dimension of social sustainability proved to be decisive for the re-use of the platform. View Full-Text
Keywords: engagement platform; digital health; social sustainability engagement platform; digital health; social sustainability

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Lo Presti, L.; Testa, M.; Marino, V.; Singer, P. Engagement in Healthcare Systems: Adopting Digital Tools for a Sustainable Approach. Sustainability 2019, 11, 220.

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